| NPI | 1659826881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN J TOUHEY Practice Administrator 239-226-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL PMC1465) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |